Individual
KRYSTAL FRANCES TILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1400 GRAND AVE, NEWPORT, KY 41071-2570
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
256536
KY
1041C0700X
Clinical Social Worker
256536
KY
Other
Enumeration date
03/02/2023
Last updated
03/20/2023
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